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PT Evalution

What are the four critical life functions? ventilation = moving air in and out of lung Oxygenation = getting oxygen into blood Circulation = moving blood through the body Perfusion = getting blood ,oxygen into tissue
Which of these Life fuctions is the first priority? ventilation = moving air in and out of lung establish open airway and breath
What assessments would determine how well a patient is ventilating? respiratory rate, tidal volume, chest movement, breath sounds, PaCO2
How would the therapist determine if a patient has a problem with Oxygenation? Heart rate, color, sensorium, PaO2
What information would help the therapist determine if a patients Circulation is Adequate? Puls/heart rate and strength, cardiac output
What changes would indicate that a patient may not have adequate Perfusion? Blood pressure,sensorium,temperture,urine output,hemodynamics
Explain the difference between "Signs and Symptoms" and list example of each. Signs = Objective information, those things you can see or measure EX.(color,pulse,edma,blood pressure) Symptoms = Subjective information, those things a patient must tell you EX. (Dyspnea,pain,nausea,musle weakness)
What are in the Admission Notes,when you look at in a Patient Chart? Admittimg diagnosis,History of present illness, Cheif complaint,Past Medical History. you want to look at everything
List the 8 items that are important to examie when reviewing a patients chart? Admission Notes,Signs and Symptoms,Occuption or employment History,Allergies or Allergic Reactions,Pior surgery(illness or injury),Vital Signs,Physical Examie of Chest, Smoking History, Advance Directives
Define Advance Directives Set of instructions documenting what treatment a PT would want if he was unable to make medical decisions
Types of Advance Directives Do Not Resuscitate Living will Durable Power of Attorney for Health Care
A properly written order for respirtory care should include what four factors Type of Treatment Frequency Medication dosage and dilution Physician Notes
The Respiratory therapist has just finished administering an aersol treatment with albuterol to a child with asthma. How should the treatment be charted? Respiratory = record date,time,reactions,
What is the normal value for urine output? Normal Urine Output 40 mL/hr (approximately 1 Liter/day)
What finding might indicate that the patients fluid intake has exceeded his urine output? Weight Gain Electrolyte Imbalance Increased Hemodynamic Pressures Decreased Lung Compliance
Changes in what reading can indicate Hypovolemia? Deacreased CVP (< 2 mmHg) can indicate Hypovolemia
Changes in what reading can indicate Hypervolemia? Increased CVP (>6 mmHg) can indicate Hypervolemia
Patient interview/History Term Semicomatose Define Responds to only pain stimuli
Patient interview/History Term Lethargy/Somnolence: Define Sleepy
Patient interview/History Term Obtunded Define Drowsy state, may have a decreased cough or gag
When assesing a patients orientation to time, place and person, what are some of the factors that could affect the patients ability to cooperate? Language difficulties Influence of Medications Hearing Loss Fear,Apprehension,Depression
Define "Activties of Daily Living" (ADL) Activities of daily Living are the basic tasks of everyday living
List the Six criteria that "Activties of Daily Living" (ADL)are based upon. Bathing with sponge, Bath or shower Eating - Dressing Toliet Use - Transferring Urine and bowel continence
Describe what a "Katz ADL" score of 1 indicates. A score of 2 or less indicates servere impairment and the patient requires assistance when performing any activity
Measuring Subjective Symptoms Define Orthopnea Difficulty breathing except in the upright position (hert problem,CHF)
Measuring Subjective Symptoms Define General Malaise Run down feeling, Nausea, Weakness, Fatgue, Headache (Electrolyte Imbalance)
Measuring Subjective Symptoms Define Dyspnea A Feeling of Shortness of Breath or Difficulty in Breathing
Measuring Subjective Symptoms Define Dysphagia (Difficulty Swallowing) and Hoarseness are also common Symptoms
What should the therapist consider while conducting a patient interview? Ask open- ended question, not yes or no question Communicate using simple language (KISS Method) Utilze pictures, Diagrams, Begin to Identify the patients major problem
Define Patient Learning Needs Patient education is the process of influencing patient behavior and producing the changes in Knowledge, Attitudes and Skills necessary to maintain or improve health.
What criteria is a patients ability to learn based upon? Cultural and Religious values Emotional Barriers,Language Barriers Desire and Movativation to learn Age and Eduction Level Physical and Cognitive Limitions
Created by: Cam1228